新出现的淋病奈瑟菌对5种主要抗菌剂多重耐药菌株的鉴定

Sinethemba Hopewell Yakobi, Ofentse Jacob Pooe
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摘要

淋病奈瑟菌的抗微生物药物耐药性在世界各地都有记录。然而,撒哈拉以南非洲的情况很少受到注意。至关重要的是建立诊断和扩大监测,以防止出现对几种治疗具有耐药性的疾病。监测抗菌素敏感性至关重要,以便收集可用于提出治疗建议的数据,从而实现有效治疗,减少与淋病有关的困难和传播,并实现有效治疗。政府当局可利用淋球菌抗微生物监测规划(GISP)的数据制定研究和预防目标以及治疗建议。地方和州卫生当局可利用全球信息服务提供商的数据选择性传播感染预防服务和资源的分配,指导预防规划,并传播有关最成功治疗做法的信息。采用分子和培养方法,我们调查了南非夸祖鲁纳塔尔省分离株抗生素耐药性的发生情况。绝大多数淋球菌分离株(48%)对环丙沙星显示绝对耐药,青霉素和四环素的耐药率各为14%。仅有1株淋球菌阿奇霉素耐药阳性,最低抑菌浓度(MIC)为1.5µg/mL。头孢曲松对所有淋球菌分离株均有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Identification of Emerging Multidrug-Resistant Neisseria gonorrhoeae Isolates against Five Major Antimicrobial Agent Options.
Antimicrobial drug resistance in Neisseria gonorrhoeae has been documented all over the world. However, the situation in Sub-Saharan Africa has received little attention. It is critical to establish diagnostics and extend surveillance in order to prevent the emergence of illnesses that are resistant to several treatments. Monitoring antimicrobial susceptibility is critically required in order to gather data that may be utilised to produce treatment recommendations that will result in effective therapy, a decrease in gonorrhoeae-related difficulties and transmission, and effective therapy. Government authorities may set research and preventive objectives, as well as treatment recommendations, using data from the Gonococcal Antimicrobial Surveillance Program (GISP). Local and state health authorities may use GISP data to make choices about the allocation of STI prevention services and resources, to guide preventative planning, and to disseminate information about the most successful treatment practices. Using molecular and culture approaches, we investigated the occurrence of antibiotic resistance in isolates from KwaZulu Natal, South Africa. The great majority of gonococcal isolates (48% showed absolute resistance to ciprofloxacin), with penicillin and tetracycline resistance rates of 14% each. Only one of the gonococcal isolates tested positive for azithromycin resistance, with a minimum inhibitory concentration (MIC) of 1.5 µg/mL. Ceftriaxone was effective against all gonococcal isolates tested.
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